A facelift can mitigate the effects of the aging process on your facial skin and tissues. Double-board-certified facial plastic surgeon Dr. Richard V. Balikian is highly trained in several facelift techniques. He can perform your facelift in San Diego to refresh and refine your facial contours.

What Is a Facelift?

A facelift is a popular cosmetic surgery that can counteract many signs of aging. Also known as a rhytidectomy, facelifts are often performed to address:

  • Excess skin
  • Excess fat
  • Wrinkles like marionette lines and the nasolabial folds
  • Sagging or loose tissue
  • Jowls

Are You a Good Candidate for a Facelift?

A facelift can be an effective solution for patients who are in good physical health and want to fight back against the effects of time and gravity on the facial tissues. Patients who are concerned with loss of volume or deep wrinkles may need to combine a facelift with an additional procedure for more comprehensive rejuvenation.

In your initial consultation, Dr. Balikian will assess your facial features, consider your medical history, and learn about your unique treatment goals. He can then determine which procedure can help you best achieve your desired look.

Types of Facelifts

As a specialist in facial plastic surgery, Dr. Balikian is able to reverse gravity’s effects on your face by lifting, tightening, and smoothing your facial tissues. He is trained in several facelift techniques, allowing him to create a precise and effective treatment plan for each of his patients.

He performs the following types of facelifts:

Mini Facelift

A mini facelift by Dr. Balikian involves making discreet incisions near the ears that allow him to refine the jawline, address marionette lines, and gently lift tissues to take years off your facial appearance.

Facelift (lower face and neck lift)

This facelift requires a small incision under the chin and small well-concealed incisions around the ears. Dr. Balikian can then lift and smooth your lower facial contours and address signs of aging in the neck, such as excess fat, neck bands, or a “turkey waddle.”

Extended Deep Plane Facelift

This is an advanced procedure performed only by facial plastic surgery experts like Dr. Balikian. An extended deep plane facelift can achieve dramatic results, as it allows for a unified lift of the deeper skin and tissues. With this technique, Dr. Balikian can address sagging cheeks, the nasolabial folds, jowls, and marionette lines.

Neck Lift

Loose skin in the chin and neck can be eliminated with this surgery. Excess fat can be removed, and the skin and muscles can be tightened to create a slim, graceful neckline. While a neck lift can be performed as a singular surgery, it is often combined with a lower facelift to attain the most aesthetic results.

Other Procedures to Consider

Facial Fat Transfer

As we age, our face also ages like a grape turning into a raisin. Volume is lost, and unwanted folds and creases develop. Although a facelift will lift some tissues into place and help fill in those spots, often more volume is needed. Facial fat transfer allows Dr. Balikian to replace your volume loss, with your own fat from other parts of your body, such as stubborn belly fat. Combining fat transfer with a facelift allows Dr. Balikian to tap into his artistry to complete the picture of a pretty face. He often says a facelift rejuvenates, while the fat adds the beauty. Contact Balikian Facial Plastic Surgery to schedule and appointment!

CO2 Laser Resurfacing

Often wrinkles of the face are deep and stubborn. A properly performed facelift can help smooth some wrinkles out by removing excess skin, it will not eliminate deeper wrinkles. In this situation, Dr. Balikian often recommends a CO2 laser resurfacing at the same time as surgery. Through this heat stamp, the top layer of skin will be resurfaced, and the deeper layers will be contracted. Collagen formation will begin, and the deepest wrinkles will be improved. Just like refurbishing a damaged piece of furniture with medium sandpaper, the overall result will look better, but the deepest dings will remain to some extent.

Lip Lift

If you suffer from droopy skin around the eyelids that causes you to look much older and tired while also limiting your vision, then you may be a good fit for blepharoplasty. The best candidates for blepharoplasty should be in good physical health, be ready to follow any pre-operative instructions given, and have realistic expectations. We will help determine your candidacy for the procedure during your consultation.

Richard V. Balikian, MD, FACS

Double Board-Certified Facial Plastic Surgeon
Artistry. Excellence. Compassion

Trust Your Face to a Facial Plastic Surgeon

Dr. Balikian is an experienced, double board-certified, facial plastic surgeon. He is double board-certified both in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Balikian belongs to a very select group of elite cosmetic surgeons with at least six years of specialized surgical training exclusively in aesthetic and reconstructive surgery of the face and neck.

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Schedule a Facelift Consultation

Dr. Balikian performs facelifts in San Diego for patients with a wide range of concerns. His specialized training in facial plastic surgery and his artistic eye allow him to consistently meet patient expectations. If you are dissatisfied with how time and gravity have affected your facial appearance, contact our office to schedule a facelift consultation.

Schedule a Consult

I felt well prepared prior to surgery and excited.


I always planned to have a facelift but was really apprehensive about scars and the ‘Joker face’ look, but when I saw the lower facelift/neck lift results on another of his patients, I was finally ready. Dr. Balikian and his staff answered all my questions and I felt well prepared prior to surgery and excited. […] I’m only 12 days post-op and have no visible suture lines. My saggy neck skin and jowls are gone! I just look refreshed and younger, far from the ‘Joker face’ look I was afraid of. I’m really happy with my results and I will recommend Dr. Balikian without hesitation.